NCT00084929

Brief Summary

RATIONALE: New diagnostic procedures such as computed tomographic colonography may improve the ability to detect colorectal cancer and may provide a less invasive method of detection. PURPOSE: This clinical trial is studying how well computed tomographic colonography works in screening healthy participants for colorectal cancer.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2,600

participants targeted

Target at P75+ for not_applicable colorectal-cancer

Timeline
Completed

Started Feb 2005

Longer than P75 for not_applicable colorectal-cancer

Geographic Reach
1 country

14 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 10, 2004

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 11, 2004

Completed
8 months until next milestone

Study Start

First participant enrolled

February 1, 2005

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 11, 2007

Completed
2.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 13, 2010

Completed
10.5 years until next milestone

Results Posted

Study results publicly available

November 16, 2020

Completed
Last Updated

December 22, 2020

Status Verified

November 1, 2020

Enrollment Period

2.6 years

First QC Date

June 10, 2004

Results QC Date

February 5, 2018

Last Update Submit

November 30, 2020

Conditions

Keywords

colon cancerrectal cancer

Outcome Measures

Primary Outcomes (6)

  • Number of Participants With Advanced Adenomas (>=10mm) as Determined by Colonoscopy (Per Patient)

    Pathology results from Colonoscopy performed up to 30 days after a CTC examination were used as the reference standard (RS) for determining the existence of advanced adenomas. RS+: Colonoscopy found at least 1 Advanced adenomas \>=10mm (as measured at pathology) RS-: No Advanced adenomas \>=10mm found by colonoscopy (as measured at pathology)

    within 30 days

  • Number of Participants With Advanced Adenomas (>=9mm) Detected by CT Colonoscopy (Per Patient)

    Pathology results from Colonoscopy performed up to 30 days after a CTC examination were used as the reference standard (RS) for determining the existence of advanced adenomas. RS+: Colonoscopy found at least 1 Advanced adenomas \>=9mm (as measured at pathology) RS-: No Advanced adenomas \>=9mm found by colonoscopy (as measured at pathology)

    within 30 days

  • Number of Participants With Advanced Adenomas (>=8mm) Detected by CT Colonoscopy (Per Patient)

    Pathology results from Colonoscopy performed up to 30 days after a CTC examination were used as the reference standard (RS) for determining the existence of advanced adenomas. RS+: Colonoscopy found at least 1 Advanced adenomas \>=8mm (as measured at pathology) RS-: No Advanced adenomas \>=8mm found by colonoscopy (as measured at pathology)

    within 30 days

  • Number of Participants With Advanced Adenomas (>=7mm) Detected by CT Colonoscopy (Per Patient)

    Pathology results from Colonoscopy performed up to 30 days after a CTC examination were used as the reference standard (RS) for determining the existence of advanced adenomas. RS+: Colonoscopy found at least 1 Advanced adenomas \>=7mm (as measured at pathology) RS-: No Advanced adenomas \>=7mm found by colonoscopy (as measured at pathology)

    within 30 days

  • Number of Participants With Advanced Adenomas (>=6mm) Detected by CT Colonoscopy (Per Patient)

    Pathology results from Colonoscopy performed up to 30 days after a CTC examination were used as the reference standard (RS) for determining the existence of advanced adenomas. RS+: Colonoscopy found at least 1 Advanced adenomas \>=6mm (as measured at pathology) RS-: No Advanced adenomas \>=16mm found by colonoscopy (as measured at pathology)

    within 30 days

  • Number of Participants With Advanced Adenomas (>=5mm) Detected by CT Colonoscopy (Per Patient)

    Pathology results from Colonoscopy performed up to 30 days after a CTC examination were used as the reference standard (RS) for determining the existence of advanced adenomas. RS+: Colonoscopy found at least 1 Advanced adenomas \>=5mm (as measured at pathology) RS-: No Advanced adenomas \>=5mm found by colonoscopy (as measured at pathology)

    within 30 days

Secondary Outcomes (7)

  • Number of Advanced Adenoma or Cancer Lesions (>=10mm) Detected by CT Colonoscopy (Per Lesion)

    within 30 days

  • Number of Advanced Adenoma or Cancer Lesions (>=9mm) Detected by CT Colonoscopy (Per Lesion)

    within 30 days

  • Number of Advanced Adenoma or Cancer Lesions (>=8mm) Detected by CT Colonoscopy (Per Lesion)

    within 30 days

  • Number of Advanced Adenoma or Cancer Lesions (>=7mm) Detected by CT Colonoscopy (Per Lesion)

    within 30 days

  • Number of Advanced Adenoma or Cancer Lesions (>=6mm) Detected by CT Colonoscopy (Per Lesion)

    within 30 days

  • +2 more secondary outcomes

Study Arms (1)

CT Colonography

EXPERIMENTAL

CT colonography conducted during the same assessment as colonoscopy.

Procedure: CT Colonography

Interventions

CT colonography performed for comparison with colonoscopy results performed during the same screening assessment.

Also known as: CT colonography trial, colonoscopy
CT Colonography

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female outpatients
  • Aged 50 years or older
  • Scheduled for screening colonoscopy
  • Participant's signed informed consent

You may not qualify if:

  • Symptoms of disease of the lower gastrointestinal tract, including
  • Melanotic stools or/and hematochezia on more than one occasion in the previous six months
  • Lower abdominal pain that would normally require a medical evaluation
  • Inflammatory bowel disease and/or familial polyposis syndrome
  • Serious medical conditions that would increase the risk associated with colonoscopy or are so severe that screening would have no benefit
  • Pregnancy
  • Previous colonoscopy within the past five years
  • Anemia (hemoglobin less than 10 gm/dl)
  • Positive fecal occult blood test (FOBT)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

Mayo Clinic Scottsdale

Scottsdale, Arizona, 85259-5499, United States

Location

Moores UCSD Cancer Center

La Jolla, California, 92093-0658, United States

Location

Jonsson Comprehensive Cancer Center at UCLA

Los Angeles, California, 90095-1781, United States

Location

Veterans Affairs Medical Center - San Francisco

San Francisco, California, 94121, United States

Location

Invision/Radiology Imaging Associates - Englewood

Englewood, Colorado, 80112, United States

Location

Yale Cancer Center

New Haven, Connecticut, 06520-8028, United States

Location

University of Chicago Cancer Research Center

Chicago, Illinois, 60637-1470, United States

Location

Clinical Radiologists, S.C. at Memorial Medical Center

Springfield, Illinois, 62781, United States

Location

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, 21231-2410, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Mayo Clinic Cancer Center

Rochester, Minnesota, 55905, United States

Location

Mallinckrodt Institute of Radiology at Washington University Medical Center

St Louis, Missouri, 63110, United States

Location

M.D. Anderson Cancer Center at University of Texas

Houston, Texas, 77030-4009, United States

Location

Virginia Commonwealth University Massey Cancer Center

Richmond, Virginia, 23298-0037, United States

Location

Related Publications (6)

  • Vanness DJ, Knudsen AB, Lansdorp-Vogelaar I, Rutter CM, Gareen IF, Herman BA, Kuntz KM, Zauber AG, van Ballegooijen M, Feuer EJ, Chen MH, Johnson CD. Comparative economic evaluation of data from the ACRIN National CT Colonography Trial with three cancer intervention and surveillance modeling network microsimulations. Radiology. 2011 Nov;261(2):487-98. doi: 10.1148/radiol.11102411. Epub 2011 Aug 3.

    PMID: 21813740BACKGROUND
  • Johnson CD, Herman BA, Chen MH, Toledano AY, Heiken JP, Dachman AH, Kuo MD, Menias CO, Siewert B, Cheema JI, Obregon R, Fidler JL, Zimmerman P, Horton KM, Coakley KJ, Iyer RB, Hara AK, Halvorsen RA Jr, Casola G, Yee J, Blevins M, Burgart LJ, Limburg PJ, Gatsonis CA. The National CT Colonography Trial: assessment of accuracy in participants 65 years of age and older. Radiology. 2012 May;263(2):401-8. doi: 10.1148/radiol.12102177. Epub 2012 Feb 23.

  • Hara AK, Blevins M, Chen MH, Dachman AH, Kuo MD, Menias CO, Siewert B, Cheema JI, Obregon RG, Fidler JL, Zimmerman P, Horton KM, Coakley KJ, Iyer RB, Halvorsen RA Jr, Casola G, Yee J, Herman BA, Johnson CD. ACRIN CT colonography trial: does reader's preference for primary two-dimensional versus primary three-dimensional interpretation affect performance? Radiology. 2011 May;259(2):435-41. doi: 10.1148/radiol.11100250. Epub 2011 Mar 1.

  • Hara AK, Kuo MD, Blevins M, Chen MH, Yee J, Dachman A, Menias CO, Siewert B, Cheema JI, Obregon RG, Fidler JL, Zimmerman P, Horton KM, Coakley K, Iyer RB, Halvorsen RA Jr, Casola G, Johnson CD. National CT colonography trial (ACRIN 6664): comparison of three full-laxative bowel preparations in more than 2500 average-risk patients. AJR Am J Roentgenol. 2011 May;196(5):1076-82. doi: 10.2214/AJR.10.4334.

  • Siewert B, Gareen I, Vanness D, et al.: ACRIN 6664: patient acceptance and preferance of CT colonography compared to optical colonoscopy for colon cancer screening. [Abstract] J Clin Oncol 27 (Suppl 15): A-4034, 2009.

    RESULT
  • Johnson CD, Chen MH, Toledano AY, Heiken JP, Dachman A, Kuo MD, Menias CO, Siewert B, Cheema JI, Obregon RG, Fidler JL, Zimmerman P, Horton KM, Coakley K, Iyer RB, Hara AK, Halvorsen RA Jr, Casola G, Yee J, Herman BA, Burgart LJ, Limburg PJ. Accuracy of CT colonography for detection of large adenomas and cancers. N Engl J Med. 2008 Sep 18;359(12):1207-17. doi: 10.1056/NEJMoa0800996.

Related Links

MeSH Terms

Conditions

Colorectal NeoplasmsColonic NeoplasmsRectal Neoplasms

Interventions

Colonoscopy

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Endoscopy, GastrointestinalEndoscopy, Digestive SystemDiagnostic Techniques, Digestive SystemDiagnostic Techniques and ProceduresDiagnosisEndoscopyDiagnostic Techniques, SurgicalDigestive System Surgical ProceduresSurgical Procedures, OperativeMinimally Invasive Surgical Procedures

Results Point of Contact

Title
Donna Harfeil, Director of Protocol Management
Organization
ACRIN

Study Officials

  • C. Daniel Johnson, MD

    Mayo Clinic

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SCREENING
Intervention Model
SINGLE GROUP
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 10, 2004

First Posted

June 11, 2004

Study Start

February 1, 2005

Primary Completion

September 11, 2007

Study Completion

May 13, 2010

Last Updated

December 22, 2020

Results First Posted

November 16, 2020

Record last verified: 2020-11

Data Sharing

IPD Sharing
Will share

Researchers may request data from the ACRIN data access committee by reviewing the information at: https://www.acrin.org/RESEARCHERS/POLICIES/DATAANDIMAGESHARINGPOLICY.aspx

Locations